DR. CORY JAMES GIBBENS (AGPCNP-BC) – Primary Care Nurse Practitioner, NPI 1023633831
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for DR. CORY JAMES GIBBENS (AGPCNP-BC)
380 9TH ST
FLORENCE, OR 974399470
Phone: (541) 997-8412
Type: Mailing
4681 MITCHELL LOOP RD
FLORENCE, OR 974398464
Phone: (541) 294-4150
Type: Mailing
1951 21ST ST
FLORENCE, OR 974399771
Phone: (541) 997-8436
Type: Location
340 9TH ST
FLORENCE, OR 974399470
Phone: (541) 902-6736
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201020000900 | I | Nurse Practitioner | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 36 | 29 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 97439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | OR | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | OR | |
| Family Practice, Hospice/Palliative Care | OR | |
| General Surgery | OK | |
| - | OR | |
| - | CA | |
| Internal Medicine, Pediatric Medicine | OR | |
| Internal Medicine | OR | |
| Internal Medicine | CA |
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